| Sierra Dental Practice | |
|
9290 Sierra College Blvd Ste 300 Roseville CA 95661-5919 | |
| (916) 788-8450 | |
| (916) 788-8452 |
| Full Name | Sierra Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9290 Sierra College Blvd Ste 300, Roseville, California |
| Authorized Official Name and Position | Long Bao Nguyen (CEO) |
| Authorized Official Contact | 9167888450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Dental Practice 9290 Sierra College Blvd Ste 300 Roseville CA 95661-5919 Ph: (916) 788-8450 | Sierra Dental Practice 9290 Sierra College Blvd Ste 300 Roseville CA 95661-5919 Ph: (916) 788-8450 |
| NPI Number | 1649488727 |
|---|---|
| Provider Enumeration Date | 05/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649488727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45159 (California) | Primary |
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